Thank you for your interest in The Northeast PHO. The first step in joining our network of physicians is to request NECoMG membership. To ensure a smooth enrollment process and to minimize potential delays with insurance credentialing, the PHO recommends that you request NECoMG membership at the same time that Beverly Hospital privileges are being requested.
If a provider does not already hold Beverly Hospital privileges and has not already requested a privileging application- please reach out to Beverly Hospital Medical Staff Office (MSO) to request an application.
Manager, Medical Staff Office
T: 978-816-2841 | F: 978-921-7048
From the PHO perspective, the Provider Relations Department will need the following items to bring a new provider to a monthly NECoMG Board meeting for approval to become a Northeast PHO member and link to our health plan contracts:
- Copy of CAQH application (Instructions)
- Confirmation that Beverly Hospital application process is underway
- CV in month/year format
- Completed NEPHO Data Form
- Plan participation form